US20080154294A1 - Gas Insufflation Device - Google Patents

Gas Insufflation Device Download PDF

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Publication number
US20080154294A1
US20080154294A1 US11/849,866 US84986607A US2008154294A1 US 20080154294 A1 US20080154294 A1 US 20080154294A1 US 84986607 A US84986607 A US 84986607A US 2008154294 A1 US2008154294 A1 US 2008154294A1
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US
United States
Prior art keywords
trocar
section
cross
trocar sleeve
sleeve
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US11/849,866
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English (en)
Inventor
Horst Semm
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Karl Storz SE and Co KG
Original Assignee
Karl Storz SE and Co KG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Karl Storz SE and Co KG filed Critical Karl Storz SE and Co KG
Assigned to KARL STORZ GMBH & CO. KG reassignment KARL STORZ GMBH & CO. KG ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: SEMM, HORST
Publication of US20080154294A1 publication Critical patent/US20080154294A1/en
Abandoned legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M13/00—Insufflators for therapeutic or disinfectant purposes, i.e. devices for blowing a gas, powder or vapour into the body
    • A61M13/003—Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3474—Insufflating needles, e.g. Veress needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • A61B17/3496—Protecting sleeves or inner probes; Retractable tips

Definitions

  • the invention relates to a gas insufflation device according to the preamble portion of the main claim.
  • a gas insufflation device of the mentioned type is e.g. known from DE 30 00 218 C1. In minimal-invasive surgery, it serves to establish a pneumoperitoneum and to perform intra-abdominal examinations or operations with this facility.
  • a trocar is inserted into the abdomen through a relatively small cut.
  • an endoscope Through the trocar, an endoscope, further optical instruments or surgical instruments may then be inserted.
  • an endoscope e.g. an endoscope
  • further optical instruments or surgical instruments may then be inserted.
  • pneumoperitoneum e.g. a pneumoperitoneum.
  • a gas volume into the abdomen, the gas volume being large enough to create a sufficient operating field and to immediately balance occurring leakage, e.g. when instruments are exchanged. It may also be required to supply correspondingly large gas amounts e.g. in case of laser welding in the abdomen.
  • annular gap between the trocar sleeve and the trocar pin, through which the gas supply is performed.
  • This annular gap is often not sufficient to realize large gas flow amounts of up to 45 l/min or more.
  • same also forms a flow resistance which is disadvantageous in case of large gas volumes.
  • JP 09 140721 A describes a gas insufflation device having a trocar comprising a tubular trocar sleeve into which a trocar pin is guided.
  • the trocar sleeve is formed tubular, while the trocar pin is provided with a longitudinal groove forming the flow channel.
  • a similar construction is shown in WO 01/08573 A. To enhance the discharge from the trocar sleeve, same is provided with recesses.
  • U.S. Pat. No. 6,656,160 B1 also shows circular trocar sleeves in which instruments having different cross-sections are guided in order to enable a sufficient fluid flow.
  • an additional flow channel is created, which is formed between the outer wall of the trocar pin and the inner wall of the trocar sleeve in that the cross-sectional shape of the inner cross-section of the trocar sleeve differs from that of the outer cross-section of the trocar pin.
  • the trocar sleeve which is manufactured as a thin-walled pipe made of a medically suitable steel, with an arbitrary cross-section, e.g. elliptical, lenticular, square, rhombic, in the shape of a triangle or polygon.
  • the outer contour is correspondingly rounded or provided with a radius in order to prevent the patient from being injured or damaged.
  • the trocar pin has a round, circular outer cross-section, there results at least one additional flow channel which is defined by the relation of the cross-section of the trocar sleeve and the cross-section of the trocar pin.
  • a plurality of flow channels may be provided. It is thus possible to dimension the conduit of the at least one flow channel such that a sufficient gas volume may be passed through.
  • the trocar sleeve it is particularly advantageous that only an adaptation of the trocar sleeve is required. This is feasible in the most simple manner, since such trocar sleeves are drawn over a die. Therewith, a particularly economic way of manufacturing is provided. It is therefore not required to deviate from the circular cross-section of the trocar pin which is designed in the form of instruments or optics.
  • the trocar pin is provided with an insertion part at its distal end portion, the cross-section of said insertion part being formed corresponding to the inner cross-section of the trocar sleeve. If the insertion part or distal end portion of the trocar pin is located in the distal mouth portion of the trocar sleeve, same may consequently be inserted into the abdomen without any problem, without any danger to injure the patient or without any interference of or impact on the surgical operation.
  • the distal end portion of the trocar pin may thus be provided with lugs, the geometry and size of which correspond exactly to the at least one flow channel, and which cover or seal same during the insertion process, in order to prevent an undesired insertion of tissue or the like.
  • the trocar pin is then further advanced, whereby its distal end portion with the insertion part departs from the distal end portion of the trocar sleeve, such that the at least one flow channel is cleared.
  • the trocar sleeve symmetrically or asymmetrically. Consequently, different cross-sectional variants result. Particularly advantageous embodiments are provided if the circular cross-section of the trocar pin is correspondingly guided or centered in the trocar sleeve. Therewith, a seizure is securely prevented.
  • the trocar sleeve may be particularly preferable to shape the trocar sleeve not round, as it was discussed above, i.e. for example triangular, square or in any other shape.
  • the twisting reliability is secured, which, in addition, prevents or hinders a slipping or sliding of the trocar sleeve during an operation, such that an additional advantageous effect results.
  • the distal end of the trocar sleeve may be formed straight or bevelled, such that common basic shapes of trocar sleeves may be used.
  • the trocar body In order to guarantee an optimised supply of gas, it may be preferred to provide the trocar body with a gas inlet pipe which substantially opens out directly into the at least one flow channel.
  • a gas inlet pipe which substantially opens out directly into the at least one flow channel.
  • an axial inclination of the gas inlet pipe contributes to this effect.
  • FIG. 1 shows a schematic side view of a trocar having a trocar sleeve and a trocar pin in a triangular embodiment
  • FIG. 2 shows a front side view of the arrangement according to FIG. 1 ,
  • FIG. 3 shows an enlarged partial view of the end portion of a related trocar pin
  • FIG. 4 shows a view analogous to FIG. 1 in a square shape
  • FIG. 5 shows a front view of the arrangement of FIG. 4 .
  • FIG. 6 shows a front end portion of the related trocar pin with its distal end portion
  • FIG. 7 shows a side view of a further embodiment, analogous to FIGS. 1 and 4 , in an elliptic shape
  • FIG. 8 shows a face side view of the arrangement of FIG. 7 .
  • FIG. 9 shows a view of the related trocar pin with its distal end portion corresponding to the embodiments of FIGS. 7 and 8 .
  • FIG. 10 shows a schematic side view of an embodiment of the trocar pin according to the invention.
  • FIG. 11 shows an arrangement, analogous to FIGS. 1 , 4 and 7 , in section with an assignment of the trocar pin.
  • a trocar sleeve 1 is provided, which is connected to a trocar body 2 , e.g. by means of a screw connect (not shown in detail).
  • a gas inlet pipe 6 is fixed to the trocar body 2 , the pipe serving to supply gas.
  • a trocar pin (see FIG. 10 ) may be inserted into the trocar sleeve 1 through the trocar body 2 .
  • This also corresponds to the state of the art; a depiction of the required diaphragms or sealing means is omitted for the sake of clarity.
  • the trocar pin 3 has a round, circular outer cross-section, as is e.g. shown in FIGS. 3 , 6 , 9 and 10 . As discussed, the trocar pin 3 may be formed in different shapes, as is required in minimal-invasive surgery.
  • FIG. 2 for example shows an embodiment having an optic comprising a lens 7 and an optical fiber bundle 8 .
  • FIGS. 1 to 3 show a first embodiment in which a trocar sleeve 1 is provided, which has a triangular cross-section (equilateral triangle). Consequently, there result three convexities 9 which are rounded and respectively form the corners of the triangle. With these convexities 9 , respectively one flow channel is formed, as is shown in FIG. 2 . A round trocar pin 3 is therewith guided in the triangular trocar sleeve.
  • FIG. 3 shows a distal end portion 5 of a trocar pin 3 , the end portion also having a triangular cross-section and fitting into the triangular cross-section of the trocar sleeve 1 such that its interior is covered or sealed when the trocar sleeve 1 is inserted, such that no tissue may be displaced into the flow channel 4 .
  • the distal end portion 5 leaves the distal end of the trocar sleeve 1 , such that the flow channels 4 are cleared.
  • FIGS. 4 to 6 A further embodiment is shown in FIGS. 4 to 6 , in which the trocar sleeve 1 has a square cross-section. Also herein, the circular cross-section of the trocar pin 3 is centered and guided, as is shown in FIG. 5 . It is obvious that the related trocar pin 3 (see FIG. 6 ) is provided with a distal end portion 5 or a tip, which is square and corresponds to the interior of the square cross-section of the trocar sleeve 1 .
  • FIGS. 7 to 9 show a further embodiment.
  • the cross-section of the trocar sleeve 1 is lenticular such that two opposing convexities 9 or lugs result, by which the two flow channels 4 are formed.
  • the middle region of the lenticular trocar sleeves 1 guides the trocar pin 3 centrally.
  • the distal end portion 5 is accordingly provided with a lug 10 to seal or cover the two flow channels 4 of the lenticular cross-section upon insertion.
  • FIG. 10 shows an enlarged view of FIG. 9 (rotated by 90°).
  • the two lugs 10 are again shown in more detail.
  • FIG. 11 shows an enlarged view in section of the embodiment of FIGS. 7 to 10 .
  • the gas may be supplied through the gas inlet pipe 6 into the interior the trocar body 2 such that same may inflow unresisted into the flow channels 4 (not shown in FIG. 11 ) which are formed by the convexities 9 .
  • an inlet chamber 12 is shown schematically in FIG. 11 .

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
US11/849,866 2005-03-04 2007-09-04 Gas Insufflation Device Abandoned US20080154294A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE102005010062.7 2005-03-04
DE102005010062A DE102005010062B4 (de) 2005-03-04 2005-03-04 Gasinsufflationsvorrichtung
PCT/EP2006/002040 WO2006092336A1 (de) 2005-03-04 2006-03-06 Gasinsufflationsvorrichtung

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2006/002040 Continuation WO2006092336A1 (de) 2005-03-04 2006-03-06 Gasinsufflationsvorrichtung

Publications (1)

Publication Number Publication Date
US20080154294A1 true US20080154294A1 (en) 2008-06-26

Family

ID=36384313

Family Applications (1)

Application Number Title Priority Date Filing Date
US11/849,866 Abandoned US20080154294A1 (en) 2005-03-04 2007-09-04 Gas Insufflation Device

Country Status (4)

Country Link
US (1) US20080154294A1 (de)
EP (1) EP1863553B1 (de)
DE (1) DE102005010062B4 (de)
WO (1) WO2006092336A1 (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050222585A1 (en) * 2004-04-06 2005-10-06 Asahi Intecc Co., Ltd. Medical equipment

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110448366A (zh) * 2019-09-23 2019-11-15 常州安康医疗器械有限公司 一种用于腹腔镜穿刺器的穿刺套管装置

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4535773A (en) * 1982-03-26 1985-08-20 Inbae Yoon Safety puncturing instrument and method
US5533977A (en) * 1992-10-09 1996-07-09 Origin Medsystems, Inc. Trocar
US5851216A (en) * 1993-04-14 1998-12-22 Origin Medsystems Trocar
US6656160B1 (en) * 1997-04-29 2003-12-02 Applied Medical Resources Corporation Insufflation needle apparatus
US20060178698A1 (en) * 2005-02-08 2006-08-10 Mcintyre Jon T Method and device for canulation and occlusion of uterine arteries

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE7815914U1 (de) * 1978-05-24 1978-09-07 Fuchs, Hubert G., Ing.(Grad.) Insufflationsnadel
DE3000218C2 (de) * 1980-01-04 1990-03-29 Kurt Prof. Dr.Med. 2300 Kiel Semm Apparat zum Insufflieren von strömungsfähigen Medien
DE9109909U1 (de) * 1991-08-10 1991-09-26 Klemm, Bernd, 7801 Umkirch, De
US5449355A (en) * 1993-11-24 1995-09-12 Valleylab Inc. Retrograde tissue splitter and method
WO1996001132A1 (en) * 1994-07-01 1996-01-18 Northgate Technologies Incorporated High flow insufflation instrument for laparoscopic surgery
JP3715010B2 (ja) * 1995-11-20 2005-11-09 オリンパス株式会社 外套管付き気腹針
WO2001008573A2 (en) * 1999-07-30 2001-02-08 Ott Douglas E Perforated trocar sleeve and method of use
US7344519B2 (en) * 2001-08-31 2008-03-18 Conmed Corporation Trocar system
WO2004012613A1 (en) * 2002-08-01 2004-02-12 Advanced Neuromodulation Systems, Inc. Bendable needle with removable stylet

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4535773A (en) * 1982-03-26 1985-08-20 Inbae Yoon Safety puncturing instrument and method
US5533977A (en) * 1992-10-09 1996-07-09 Origin Medsystems, Inc. Trocar
US5851216A (en) * 1993-04-14 1998-12-22 Origin Medsystems Trocar
US6656160B1 (en) * 1997-04-29 2003-12-02 Applied Medical Resources Corporation Insufflation needle apparatus
US20060178698A1 (en) * 2005-02-08 2006-08-10 Mcintyre Jon T Method and device for canulation and occlusion of uterine arteries

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050222585A1 (en) * 2004-04-06 2005-10-06 Asahi Intecc Co., Ltd. Medical equipment
US8814890B2 (en) * 2004-04-06 2014-08-26 Asahi Intecc Co., Ltd. Vascular catheter

Also Published As

Publication number Publication date
EP1863553B1 (de) 2015-10-07
WO2006092336A1 (de) 2006-09-08
DE102005010062A1 (de) 2006-09-07
DE102005010062B4 (de) 2007-06-28
EP1863553A1 (de) 2007-12-12

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Legal Events

Date Code Title Description
AS Assignment

Owner name: KARL STORZ GMBH & CO. KG, GERMANY

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:SEMM, HORST;REEL/FRAME:020674/0478

Effective date: 20080310

STCB Information on status: application discontinuation

Free format text: ABANDONED -- AFTER EXAMINER'S ANSWER OR BOARD OF APPEALS DECISION